demonstrating the impact of occupational...
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Royal College of
Occupational
Therapists
Demonstrating the Impact of Occupational Therapy
Karin Bishop - Royal College of Occupational Therapists UK
Royal College of
Occupational
Therapists
Royal College of
Occupational
Therapists
Challenges…..… or Opportunities?
£1.1bnFunding gap between demand for care and monies available
£760mAnnual cost of in-patient care for those who have no medical need to be there
1.5mBed days lost for the NHS as a result of delayed discharges
40%Of all ambulance call outs are due to falls. The single biggest cause of death from injury in the over 65s
Royal College of
Occupational
Therapists
How was the profession perceived by decision makers?
Decision makers found it
hard to articulate theimpact of occupational therapy
The audit told us that profession was “neutrally” perceived.
Not essential !
Royal College of
Occupational
Therapists
How do we…influence, market and promote occupational
therapy to people who are not occupational therapists?
Royal College of
Occupational
Therapists
• Raise the profile of occupational therapy
• Restate occupational therapists role as leaders
• Reclaim our profession’s roles as facilitators and integrators in health and social care
• Reaffirm our occupation centredness
RCOT took action – a campaign to……
Royal College of
Occupational
Therapists
• the impact of occupational therapy through a joint campaign with all four countries of the UK
• Engaging members was essential and the next challenge
How? By demonstrating
Royal College of
Occupational
Therapists
Campaign title agreed
…to ensure the impact for people and saving moneyboth played in to the campaign .
Branding agreed. #ValueofOT
Royal College of
Occupational
Therapists
If occupational therapy is the solution… what is the problem (the challenges)?
Royal College of
Occupational
Therapists
Agreed ILSM Themes
• Reducing admissions to hospital• Facilitating flow through hospitals• Enabling safe and timely discharge• Reducing need for care and support in
the community
Royal College of
Occupational
Therapists
D escribe the service
E xplain all interventions
Measure change to capture outcomes
Overall return in investment
Template developed for members to complete
Collecting the evidence: The DEMO Model
Royal College of
Occupational
Therapists
Demonstrate cost effectiveness
Impact for the organisatione.g. Number of bed days saved, delay/avoidance of admissions- hospital, residential care
Impact for societye.g. Remaining or returning to work, reduction of reliance on benefits, Not re-offending
Impact on the individual -improving lives. The patient’s storye.g. impact on prevention and wellbeing
Royal College of
Occupational
Therapists
Demonstrating potential cost savings
1. Estimate cost of the OT e.g. 6 hours of Band 5 OT is
£33 x 6 hours
= £198
2. Estimate potential alternative journey if person had not had
OT, e.g. not using mental healthbed per day
= £404
£403 - £198
= £205Saving per person
3. Subtract cost of occupational therapy from alternative journey e.g.
Royal College of
Occupational
Therapists
Demonstrating potential cost savings
£2050 x 10 = £20,500
Next scale this up to increase the impact. Remember the saving is £205 per person.
If I do this for ten people cost savings could be:
£205 x 10 = £2050
If I have 10 occupational therapists doing this, savings could be:
Royal College of
Occupational
Therapists
Getting occupational therapists engaged...
• Workshops and roadshows – all four countries
• Online Toolkit
• Examples
Royal College of
Occupational
Therapists
• What would be your service’s infographic?
• What data do you need to evidence this?
Royal College of
Occupational
Therapists
So what did we get….
Royal College of
Occupational
Therapists
of patient referrals prevented
from admission to acute beds
potential saving of
70% of patient referrals prevented from
admission to acute beds saving over
St. Richard’s Hospital A & E dept. Chichester
£169,000
Plymouth Community Crisis Response Team
88% £3,000,000
Royal College of
Occupational
Therapists
NORFOLK COMMUNITY HEALTH AND CARE NHS TRUST
Improving Lives, Saving Money campaign has led to the development of other services such as the Early Intervention Vehicle (EIV).
IMPACT75% OF PATIENTS PREVENTED FROM COMING INTO
HOSPITAL.
This equates to a Return on Investment of 9.6 to 1
Royal College of
Occupational
Therapists
SOUTHERN HEALTH AND SOCIAL CARE TRUST - Acute Care at Home Service….
accepted 1,110 referrals in 12 months
IMPACT
80%of patients did not require
further support upon discharge from the service.
Royal College of
Occupational
Therapists
ROYAL FREE LONDON NHS FOUNDATION TRUSTRapid Response Services - Runs 7 days a week + extended evening hours.
IMPACT - admission avoidance rate 68% average on weekdays.
69% on weekend days.
58% after 5pm. The new extended hours have
Saved £220,000 over the first six months.
Royal College of
Occupational
Therapists
Reducing the pressure on hospitals
Report for each UK country: England, Wales, Northern Ireland and Scotland on the value of occupational therapy
Royal College of
Occupational
Therapists
Reducing the pressure on hospitals: A report on the value of occupational therapy - November 2016 launch events in all four country parliaments
Royal College of
Occupational
Therapists
7 new services working with
Ambulance Trusts since publication.Showed the impact occupational therapy has made
Royal College of
Occupational
Therapists
LIVING NOT EXISTING:Putting prevention at the
heart of care for older people
Use us differently!Demonstrating the
#ValueofOT
Royal College of
Occupational
Therapists
Living not existing: putting prevention at the heart of care for older people - July 2017
Launch
Royal College of
Occupational
Therapists
Fred’s story
Royal College of
Occupational
Therapists
Extensive media coverage
• Television• Radio• Newspapers• All four countries
Royal College of
Occupational
Therapists
Demonstrating the value of occupational therapy
The reports showed the following…
Flint County Council
Occupational therapists have enabled an
average of three people a year to move from
residential care to a suitable home.
SAVING: £123,781.32
Royal College of
Occupational
Therapists
Demonstrating the value of occupational therapy
Kent Reablement at Home Teams
Nine teams across the country
83% of people seen are able to live independently at home
SAVING: £3.2 million
Royal College of
Occupational
Therapists
227 packages of care were reviewed saving Cardiff Council £395,279
Royal College of
Occupational
Therapists
What RCOT is doing?
• Sending reports to stakeholders• Meeting with stakeholders• Speaking at conferences and
exhibitions• Promoting via social media and
other avenues
Royal College of
Occupational
Therapists
What we are asking members to do……
Royal College of
Occupational
Therapists
to find out how http://cotimprovinglives.com/send-us-your-service-examples/
Send in service examples
Royal College of
Occupational
Therapists
Take stats and figures
Frame your points as solutions to the challenges!
Key to influencing
Prepare your headline message
Be prepared to follow each point with a real life example
Royal College of
Occupational
Therapists
Impact of the Campaign
Greater visibility of
occupational therapy with politicians key senior health officials and public
Members are engagedand want to be a part of the campaign
Occupational therapists talking about
occupation-centred practice
Raised RCOT profile:
e.g. Increased number of speaker invites, high level strategy group invitations
Royal College of
Occupational
Therapists
Key Ingredients
• Understanding the problem (politically)
• Matching the problem with an occupational therapy solution
• Providing examples which show impact (ILSM)
• Occupational therapists engaged and upskilled to help deliver the evidence and messages
• Skills and expertise of HQ team
Royal College of
Occupational
Therapists
Questions
